Lists Flashcards

1
Q

Purpose of admitting department (list of 10)

A
  • to obtain current information on the admission-separation record
  • to obtain signed consent for treatment form
  • to supply discharge summary form
  • to explain and obtain information collection authorization form
  • to obtain signed patient release form
  • to keep updated census of empty beds
  • to print addressograph card
  • to supply ID bracelet
  • to supply allergy bracelet
  • to assign hospital number to patient
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2
Q

Types of admissions (list of 3)

A
  • routine/elective admission (planned in advance)
  • direct admission (directly to nursing unit)
  • emergency admission
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3
Q

Documents received from admissions for routine/elective admission (10 items)

A
  • admission-separation record
  • addressograph card
  • ID bracelet
  • allergy bracelet
  • discharge summary
  • consent for treatment
  • information collection authorization form
  • patient release form
  • preferred accommodation (prn)
  • ARO screening (prn)
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4
Q

Additional documents received from admissions for emergency admission (7 items)

A
  • crew report (if arrived by ambulance))
  • short stay emergency assessment record
  • nurse notes/flow sheet
  • lab reports
  • physician’s order form
  • emergency record
  • old chart (if patient was previously admitted)
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5
Q

Admission checklist (NUC duties) (13 items)

A
  • record patient info on activity sheet
  • inform assigned nurse of new admission
  • start patient chart
  • see if bed is clean
  • greet patient
  • addressograph and complete patient chart with admitting info and documents
  • place name labels in appropriate places
  • give RN nursing assessment/history
  • complete kardex
  • place old chart in designated area
  • transcribe all physician’s orders received
  • when orders complete flag chart for RN check
  • check if patient has: ARO, DNA, AVB, contact precautions, preferred accommodation
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6
Q

Critical care indicators (7 items)

A
  • ARO- antibiotic resistant organism
  • AVB- agressive/violent behaviour
  • DNA- do not acknowledge
  • CASE- specific protocol/case management
  • LATX- latex allergy
  • MAT- maternity clients who present a risk to their newborn
  • PMMV- patient has minute volume pacemaker
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7
Q

Basic components of admission order (9 items)

A
  • admitting diagnosis
  • diet
  • activity level
  • diagnostic tests/procedures
  • nursing observation
  • medications
  • treatment orders
  • patient code status
  • misc- ex request for old records
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8
Q

Purpose of a kardex (5 points)

A
  • maintain current profile of patient information
  • states patient’s nursing needs
  • states physician’s orders
  • used for planning patient care
  • reporting information to oncoming shift
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